Msn 610 Quiz 2 Already Passed

Facies {Ans: defined as an expression or appearance of the face and features of the head and neck that, when considered together, is characteristic of a clinical condition or syndrome. Once a facies is recognized, the examiner may be able to diagnose the condition or syndrome even before completing the examination. Note any change in the shape of the face or any unusual features, such as edema, bruising, coarsened Cushing syndrome. A, Facies include a rounded or "moon- shaped" face with thin, erythematous skin. B, Side view. Shows upper thoracic fat pad (buffalo hump). FIG.11.9 Hippocratic facies. Note sunken appearance of the eyes, cheeks, and temporal areas; sharp nose; and dry, rough skin seen in this patient in the terminal stages of throat cancer. features, exophthalmos, hirsutism, lack of expression, excessive perspiration, pallor, or pigmentation variations. Facies may develop slowly, and the health care provider should be alert to early changes suggestive of a developing facies. For example, a patient with early changes of acromegaly is shown in Fig. 11.14. One way to better appreciate these changes is to ask the patient to provide an older photograph of herself. Figs. 11.8 through 11.22 demonstrate some facies and their associated